Pre policy medical check up in health insurance

1
Concept of Pre-Policy Medical Check-up in Health
Insurance
2
What is a pre-policy medical checkup?

• A pre-policy medical checkup is a pre-policy
  issuance procedure that a health insurance seeker
  is required to undergo before getting a policy
  issued by the insurance company.
• Individuals above a certain age say age of 40 and
  above are required to undergo a medical test
  before buying the policy.
• Few health insurers do not require you to undergo
  any medical test at all.
• Insurers also ask applicants to get a medical
  check-up done, if they go for a higher coverage
  amount.

3
Why is a pre policy medical checkup important?

• Getting a pre-policy check up done provides an
  element of certainty to the insurance company.
• Insurers get an idea about any pre-existing
  diseases that the applicant is suffering from.

4
What are the medical tests that are conducted?

• Usually, an applicant has to undergo medical
  tests such as blood sugar, blood pressure,
  complete blood count, ECG, routine urine
  analysis, lipid profile test, blood serum test,
  etc.
• Also, depending on your age and coverage amount,
  your insurer may ask you to undergo several other
  tests too as they have a grid pattern that
  specified the number of tests to be conducted.

5
Who bears the cost of the medical examination?

• As per the Insurance Regulatory and Development
  Authority of India (IRDAI), 50 cost of the
  medical checkup is to be borne by the insurance
  company.
• Few insurance companies also let you avail free
  medical checkup.

6
What happens after the medical test?

• The test reports are sent to the underwriting
  department of the insurance company for review.
• If any ailment is not deducted, then the policy
  is issued to the applicant at normal premium
  rates.
• If an ailment is deducted then the following
  three scenarios may crop up

7
(No Transcript)
8
What happens when you opt for a policy without
medical checkup?

• If you opt for a health insurance policy without
  any medical checkup, then you have to faithfully
  disclose about any pre-existing diseases.
• If you make a false declaration, then the
  insurance company can reject your claim.
• Recommended Read Pre-policy medical check up in
  health insurance